Individual
MR. ELIJAH JUDE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1634 RYAN ST, LAKE CHARLES, LA 70601-5949
(337) 602-6391
(337) 602-6392
Mailing address
1634 RYAN ST, LAKE CHARLES, LA 70601-5949
(337) 602-6391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/01/2023
Last updated
01/11/2024
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